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3 . 2022

Assessing the socioeconomic benefits of widespread use of multivitamin supplements to reduce adverse pregnancy outcomes in Russia

Abstract

Recent data indicate a high incidence of micronutrient deficiencies in Russia’s population of reproductive age. Vitamin and mineral deficiencies increase risk of unfavorable pregnancy course and outcomes, which, in turn, may affect the demographic situation in the country. At the same time the results of clinical studies and meta-analyses confirm the possibility of beneficial effect of vitamin-mineral complexes on pregnancy course and outcomes.

The aim of this work was to evaluate the potential epidemiological and economic effects and benefits for the country from widespread use of vitamin-mineral complexes by women during the gestational period.

Material and methods. Using modeling methods in a conditional cohort of 100 thousand pregnant women, an assessment of changes in frequency of pregnancy complications was made. An assessment was also made of magnitude of potential effect of reducing the incidence of pregnancy complications against the background of various levels of vitamin-mineral complexes usage.

Results. The data obtained showed that expanding the practice of introducing micronutrient support among the Russian population can contribute to a significant improvement in epidemiological indicators. At the moment, there is a rather low level of vitamin-mineral complexes usage in population of women of reproductive age, which often leads to vitamin deficiency during pregnancy. Modeling results have shown that potentially positive changes in pregnancy outcomes against the background of an increase in frequency of vitamin-mineral complexes usage will be accompanied by significant economic benefits that are many times higher than the increase in government spending.

Keywords:pregnancy; demography; micronutrient support; vitamin-mineral complexes; pregnancy outcomes; gestational period; vitamin deficiency

Funding. The study was commissioned by Bayer JSC.

Conflict of interest. The authors declare no conflict of interest.

For citation: Dmitriev M.E., Popovich L.D., Zimokha A.Yu., Svetlichnaya S.V. Assessing the socioeconomic benefits of widespread use of multivitamin supplements to reduce adverse pregnancy outcomes in Russia. Akusherstvo i ginekologiya: novosti, mneniya, obuchenie [Obstetrics and Gynecology: News, Opinions, Training]. 2022; 10 (3): 96–106. DOI: https://doi.org/10.33029/2303-9698-2022-10-3-96-106 (in Russian)

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CHIEF EDITORS
CHIEF EDITOR
Sukhikh Gennadii Tikhonovich
Academician of the Russian Academy of Medical Sciences, V.I. Kulakov Obstetrics, Gynecology and Perinatology National Medical Research Center of Ministry of Healthсаre of the Russian Federation, Moscow
CHIEF EDITOR
Kurtser Mark Arkadievich
Academician of the Russian Academy of Sciences, MD, Professor, Head of the Obstetrics and Gynecology Subdepartment of the Pediatric Department, N.I. Pirogov Russian National Scientific Research Medical University, Ministry of Health of the Russian Federation
CHIEF EDITOR
Radzinsky Viktor Evseevich
Corresponding Member of the Russian Academy of Sciences, MD, Professor, Head of the Subdepartment of Obstetrics and Gynecology with a Course of Perinatology of the Medical Department in the Russian People?s Friendship University

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